NPI | 1578849675 |
---|---|
Former Name | LINDSAY DAWN COLEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO 576) |
Enumeration Date | 2011-11-02 |
Last Update Date | 2022-06-08 |